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Republic of the Philippines )

Province of Albay ) s.s.


City of Tabaco

AFFIDAVIT OF FILING AND SERVICE

I, of legal age, Filipino, and a resident of


after having been duly sworn to in accordance with law hereby depose and say that:

On , I filed and served copies of the Comments by:

Registered Mail to:

by depositing a copy thereof, in the post office of , as evidenced


by Registry Receipt No. __________ hereto attached and indicated after the
names of the addressee/s and with instructions to the post master to return
the mail to the sender after ten (10) days if undelivered.

IN WITNESS WHEREOF, I have hereunto affixed my signature this day of


at ___________, Philippines.

__________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE me this __ day of at the


, Philippines.

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